Billing Manager

Job Description

• Ensure complete and accurate billing processes across OP and IP services in compliance with insurance guidelines and hospital policies.
• Develop and monitor KPIs related to billing, including billing TAT, AR days, denial rates, and collection ratios.
• Guide the billing team in resolving billing discrepancies, claim denials, and escalated patient concerns.
• Coordinate closely with the insurance and clinical audit teams to ensure smooth pre-authorization and discharge processes.
• Review, audit, and approve high-value or complex bills before finalization.
• Maintain and update the billing system for correct service mappings, rate plans, and packages.
• Liaise with Finance and IT for system upgrades, automation, and integration improvements.
• Provide strategic input to improve operational efficiency and revenue cycle performance.
• Support management in budget planning, policy formulation, and compliance reporting.
• Oversee day-to-day billing operations through billing supervisors and ensure alignment with hospital goals.
• Validate billing workflows and ensure daily charge entry accuracy from all clinical departments.
• Approve application of special discounts, packages, or promotions as per DOA and revenue strategy.
• Supervise audit readiness of claims submitted to insurance companies.
• conduct monthly reviews of denied/rejected claims and implement corrective actions.
• Ensure real-time collaboration between billing, admissions, clinical, and discharge teams.
• Lead regular training and performance reviews for billing staff to enhance knowledge and productivity.
• Prepare monthly billing and revenue reports for leadership and finance departments.
• Resolve escalated issues from patients, insurance companies, or internal stakeholders related to billing and revenue.

Qualifications

• Bachelor’s Degree in Commerce, Accounting, Business Administration, or equivalent (MBA preferred).
• 6–8 years of experience in healthcare billing or RCM, with at least 3 years in a managerial role in UAE.
• In-depth knowledge of UAE insurance regulations, TPA processes, and EMR/billing software.
• Experience in team leadership, financial reporting, and interdepartmental coordination.